Managing Spasticity Improving Function, Changing Lives from Our Medical Director Contents

ADVANCING WHAT’S POSSIBLE | 2021

INSIDE: Update on Stroke-HEARTTM Trials MANAGING SPASTICITY IMPROVING FUNCTION, CHANGING LIVES FROM OUR MEDICAL DIRECTOR CONTENTS

4 Advancing What’s Possible for Patients with Spasticity

Robotics Added to Protocols For Brick 9 Man

4 10 Physical Therapy is Essential to We have ended one of our most challenging years ever. In 2020, our strengths were tested every day as we Spacticity Treatment continued to provide essential services in the midst of the global pandemic — while also swiftly pivoting to help patients recover from a disease we are still learning about: COVID-19. 11 For MS Patient, Spasticity Treatment I am so grateful to our physicians, nurses, therapists and support staff who continue to work with dedication is Life Changing and courage. We will need all our talents and commitment as we move forward with our program to help post- COVID patients recover as fully as possible. We are also participating in post-COVID research, as part of the NY/ 12 From the Frontlines of the Pandemic NJ Covid-19 Rehabilitation Consortium, so we can learn how to best support our patients and all those suffering to Post-COVID Rehabilitation from this virus. You can read about how we responded in the early days of the pandemic and our work today in this magazine. I’m proud that our specialty, Physical Medicine and Rehabilitation, is leading the way in post- Prestigious Research Award COVID rehabilitation. 14 11 Goes to JFK Johnson Physician Despite the unforeseen challenges, we kept our focus on our core services to provide the highest level of Improving Lives of People rehabilitation to patients with brain injury, stroke, cardiac issues, amputation, and other illnesses and conditions. with Spinal Cord Injury I’m excited to share the 2021 JFK Johnson Rehabilitation Institute magazine, which highlights our Amazing Spasticity Program. The director, Steven V. Escaldi, D.O., works with patients and also trains the next generation 12 JFK Johnson Residency Program of physicians to become clinically competent and proficient in the treatment of spasticity. Dr. Escaldi is a Receives Five Star Rating national leader in the field. I am inspired by the patient stories here and truly believe that high quality spasticity management is part science, part art. Comedian Tracy Morgan Presents TM 15 You can also read the update of our exciting Stroke-HEART Trials. Data continue to show the far-reaching benefits Award to JFK Johnson Nurse of a comprehensive cardiac rehabilitation program for stroke patients. We previously showed that this program has 15 the ability to reduce deaths and improve cardiovascular performance and overall function. More recently, we’ve shown that the stroke recovery program also reduces all cause hospital readmissions post stroke. 16 New Data from Stroke-HEART Trials Show Reduced Hospital Each issue of our annual magazine focuses on one aspect of our work here at JFK Johnson. Past issues have EDITORS Re-Admissions for Stroke Survivors focused on our traumatic brain injury program, our prosthetic and orthotic program, our innovative research Sara Cuccurullo, MD on stroke rehabilitation and our center for sports and spine medicine. These programs and all we do at the Vice President & Medical Director JFK Johnson Rehabilitation Institute help us Advance What’s Possible for all our patients. JFK Johnson Rehabilitation Institute 18 Highlights of Scholarly Activities Professor and Chairman 16 I hope you enjoy the magazine! Residency Program Director Department of Physical Medicine JRI Department Phone Numbers Yours in Good Health, and Rehabilitation Rutgers Robert Wood Johnson Admissions...... 732.321.7733 Outpatient PT at Woodbridge...... 732.636.5151 Medical School Cardiopulmonary Rehabilitation. 732.321.7722 Pain Management...... 732.321.7757 Hackensack Meridian School of Cognitive Rehabilitation...... 732.906.2640 Parkinson’s Disease Clinic/ Sara Cuccurullo, M.D. Medicine Driver’s Training...... 732.321.7056 Rehabilitation Medicine...... 732.321.7070 Professor and Chairman JFK for Life Fitness Center...... 732.632.1610 Pelvic Floor Rehabilitation...... 732.321.7056 Residency Program Director Anthony Cuzzola Outpatient PT at Edison ...... 848.205.2514 Pediatric Rehabilitation...... 732.548.7610 Department of Physical Medicine and Rehabilitation Vice President/Administrator JFK Johnson Rehabilitation Institute Prosthetic & Orthotic Lab...... 732.248.0774 Hackensack Meridian School of Medicine Outpatient PT/OT Services at JFK...... 732.321.7056 Rehabilitation Physicians...... 732.321.7070 Rutgers-Robert Wood Johnson Medical School Anne M. Eckert, AuD, MBA, CCC/A Outpatient PT at Metuchen ...... 732.548.9800 Speech Pathology & Audiology/ Vice President and Medical Director Administrative Director of Rehabilitation Outpatient PT/OT at Monroe ..... 609.409.1170 Hearing Aids...... 732.321.7063 Physician in Chief Carol Ann Campbell Vocational Rehabilitation...... 732.321.7069 Rehabilitation Care Transformation Services Campbell Health Media Outpatient PT at Piscataway...... 848.230.6655 JFK Johnson Rehabilitation Institute Outpatient PT at Progress Street ... 908.834.8685 2 Hackensack Meridian Health JFKJohnson.org JFKJohnson.org JFK Johnson Rehabilitation Institute 3 Main story

MANAGING SPASTICITY

or patients living with spasticity, day-to-day life IMPROVING FUNCTION Fcan be a challenge. Perhaps they have a foot that’s perpetually planter flexed, or pointed down, Dr. Escaldi’s level of experience making walking nearly impossible. Or maybe there’s a flexed elbow or permanently clenched fist. They and expertise greatly benefits our CHANGING LIVES may not be able to extend their arm to open a door. patients. Dr. Escaldi also educates No two patients with this frustrating condition are alike. medical students, residents and Spasticity may occur when there is damage or ichael Tomaro of South Bound Brook fellows who are now treating patients disease to the brain or spinal cord. It disrupts the says he’s making great progress since he complex system that coordinates movement, making Msuffered a stroke in March. But the 43-year-old locally and around the nation.˝ some muscles contract while others are made to knows he’s just beginning his journey toward relax. The result can be muscle stiffness, painful — Sara Cuccurullo, M.D., Medical Director recovery. He’s working with physical therapists spasms or decreased ability to control movements of of JFK Johnson Rehabilitation Institute to manage the spasticity that “locks up my the affected limbs. Spasticity can significantly limit whole leg,” he says. His physical therapist, a person’s ability to perform basic activities of daily Jessica Tallini, PT, DPT, exercises and stretches living (ADLs), such as dressing, bathing or walking. his affected left hand and leg. “You need to — is the key to improving outcomes,” Dr. work with patients like Michael or they will get Steven V. Escaldi, D.O., Medical Director of the Escaldi said. progressively worse. We also address issues of JFK Johnson Rehabilitation Institute Spasticity safety as Michael tries to work and get in and Management Program, dedicates his life’s work Spasticity has multiple causes. In adults, the out of bed. There are so many elements. All to helping spasticity patients live better lives. Dr. most common causes are stroke, traumatic of us here work together to keep our patients Escaldi leads a multidisciplinary team. Treatment brain injury, spinal cord injury, multiple sclerosis moving forward.” options include home stretching and exercise and cerebral palsy. About 30-40 percent of programs, physical and occupational therapy, stroke survivors will experience some form of splints or braces, oral medication, botulinum spasticity —some immediately after a stroke toxin injections and nerve blocks. Other options and others weeks or months later. The Stroke are orthopedic procedures, such as tendon Foundation estimates that 500,000 Americans lengthening, and neurosurgical procedures, such live with spasticity, and the condition affects as the implantation of intrathecal baclofen pumps. more than 12 million people around the world. Some patients are also benefitting from the use “Understanding the cause of the increased of rehabilitation technology, such as virtual reality, tone for each patient helps to identify what robotics, and electrical stimulation to help improve approach will work best for them,” Dr. Escaldi their movement. said. “Treatment approaches are tailored “Having the ability to provide all these services in to each patient’s goals, functional status, one place — and the expertise to use them correctly symptom severity and duration.”

• Acute Care Hospital • Traumatic Brain Injury JFK Johnson • Acute In-Patient Rehabilitation Institute Primary • Spinal Cord Injury (Brain Trauma Unit, Stroke Unit, Spinal Cord Unit) Continuum of Causes of • Stroke • Sub-Acute Recovery (Extended Recovery for Unit) • Cerebral Palsy Care Patients Spasticity • Outpatient Spasticity Program (Center for • Multiple Sclerosis with Spasticity Brain Injuries, Stroke Recovery Program, Spinal Cord Injury Program)

4 Hackensack Meridian Health JFKJohnson.org JFKJohnson.org JFK Johnson Rehabilitation Institute 5 //CONTINUUM of CARE

so the patient can get dressed and bath Institute in Brick. without pain. Then they enable patients to “Every patient responds differently,” Dr. continue to make gains that lead to new Thomas says. “Creating the right injection goals and higher-level functional tasks. really is an art form. There is no specific Botulinum injections are a critical and amount to always give a patient. If you give established treatment that works by too much, the limb may be too loose, or blocking the chemical signal between the not enough, it remains rigid. nerves and muscles. A skilled physician must Adds Jaime Levine, D.O., Medical Director understand the patient’s life to understand of Brain Injury Rehabilitation at the JFK where and how much medicine to inject in Johnson Extended Recovery Unit: “Some the patient’s muscles. tone in the muscle is helpful. If someone has a lot of tightness in their fingers, maybe they can use that to hold a can or open a bottle. Some tone in someone’s legs may Dr. Escaldi and the multidisciplinary team help them stand up.” It’s not just getting a shot of Some patients may be advised to consider Botulinum toxin and everything is an intrathecal Baclofen pump. Baclofen is a muscle relaxant, and an intrathecal TAILORING TREATMENT for EACH PATIENT fixed. It’s getting a shot, going to pump can deliver the medicine through the // spinal canal directly to the target receptors Seeking treatment at an elite program such as the // The Continuum of Care at the JFK Johnson Center therapy, doing the exercises that to reduce the spasticity in the muscles. one at JFK Johnson can help patients reach their for Brain Injuries can treat patients through every JFK Johnson’s Physical Medicine and highest level of function. step of their journey toward maximum function. the therapists teach you every Rehabilitation physicians work closely with Patients throughout the state and region are often “Our clinic brings tremendous improvement to the neurosurgeons at JFK Medical Center transferred to the JFK Johnson Center for Brain day, wearing your splints, doing people’s quality of life,” says Sara Cuccurullo, M.D., who surgically implant the pump. The Injuries, which includes specialized in-patient and medical director of the JFK Johnson Rehabilitation rehabilitation physicians adjust and monitor outpatient services. Patients may go from the Brain your strengthening program. Institute. “For instance, it’s not enough to just give the pump. Trauma Unit to the Extended Recovery Unit and then patients an injection. You need to know exactly The patients who commit to the Another option for some patients is serial to Outpatient Cognitive Rehabilitation. where to place the injection and how much medicine casting, where a series of casts is used to to inject. It’s science, but also an art form.” The aim is to treat patients as early as possible after program typically experience the stretch soft tissue and improve range of their illness or injury. If a muscle is tight and painful, Dr. Escaldi’s leadership has helped build a motion. Bracing, too, can help stabilize patients may stop using the muscle, potentially greatest improvement.” comprehensive program that treats patients in New muscles and keep limbs positioned. creating contracture, a tightening or shortening of Jersey and throughout the region. The physicians Dr. — Steven Escaldi, D.O, The range of treatments requires a team the muscle. Identifying problems early can minimize Escaldi trains each year in spasticity are now working Medical Director of the approach, says Dr. Levine. In the extended or prevent spasticity. around the country. He has published research and Spasticity Management Program recovery unit, the patients have suffered also lectures nationally and in Europe, and is part of Each new patient receives a full evaluation at JFK serious brain injuries, such as strokes, car an international consortium creating best practices Johnson. Then a multidisciplinary plan is created. Dr. accidents, violence and anoxic brain injuries to share around the world, especially in nations with Escaldi likens each element as a piece of the puzzle. “As you treat patients, you need to keep from lack of oxygen. Many have some form limited health care resources. “It’s not just getting a shot of botulinum toxin and some measure of tone in their muscles. You of spasticity. might automatically want to straighten out a Dr. Escaldi is devoted to improving patient access to everything is fixed. It’s getting a shot, going to Treating and managing spasticity is person’s bent arm,” says Alphonsa Thomas, effective spasticity treatments, and he cites statistics therapy, doing the exercises that the therapists necessary to keep patients healthy D.O. “But maybe your patient uses that that as many as half of the Americans suffering from teach you every day, wearing your splints, doing and comfortable. Dr. Levine credits the bent elbow to carry her purse. You have spasticity do not receive optimal treatment. Too your strengthening program,” he says. “The patients multidisciplinary team approach with to understand your patient’s day-to-day many receive no treatment. who commit to the program typically experience the nurses, therapists, physician assistants and activities." Dr. Thomas is a physiatrist with greatest improvement.” physicians working together. “That’s our “In the grand scheme, spasticity is neglected,” he subspecialty training in brain injury medicine most important feature — how we all work says. “We need patients to know they can get better The JFK Johnson physicians and therapists begin by who trained under Dr. Escaldi. She now works together to help each patient,” she says. if they seek out the right treatment.” setting simple goals, such as improving limb position at Hackensack Meridian Shore Rehabilitation

6 Hackensack Meridian Health JFKJohnson.org JFKJohnson.org JFK Johnson Rehabilitation Institute 7 //MULTIDISCIPLINARY, TEAM APPROACH

At Hartwyck, we’re family. It’s a rare Michael Segerra and his place — and we tell patients and father, Luis Segarra said Botulinum toxin injections enable him their families this is the place you to gain more control of his curled and affected left want to be.” arm, which he calls his “T-rex arm.” — Jeanne O’Connor, P.A. “Before the injections, if I wanted to grab a snack off the top cupboard I just couldn’t reach. The injections Christina Cognetti, MS OTR/L, an loosen everything up and I have more use of my occupational therapist, with Michael Segarra hand,” Segarra says. “Dr. Escaldi knows how to Laurie Dabaghian, M.D., a physical medicine and very frustrating for patients.” find the muscles that are firing and put the Botox in rehabilitation physician with brain injury specialty The goal might be to get patients to brush their the right place. You don’t want too much tone and training, approaches treatment step-by-step. teeth, get around their home, and live with less rigidity, or my arm would be too loose. Dr. Escaldi is “You have to see what works for each patient,” Robotics Advances rigidity and pain. Therapists may work to stretch a the best doctor.” she says. clenched hand or stretch a patient’s leg, or work on Occupational therapist Christina Cognetti, MS, Dr. Dabaghian, who works with and is mentored balance and function. Spasticity Care OTR/L, is now working with Segarra as he uses by Dr. Escaldi, recalled a patient whose ankles Therapy is difficult and physical work for both At 25, Michael Segarra landed incremental steps through the JFK a MyoPro powered arm and hand brace. The and feet were affected, with one foot fully plantar patient and therapist. Therapy can be more effective device amplifies weak muscle signals and has been flexed, or pointed, despite injections, medication, in the hospital with a blood Johnson Continuum of Care. when other interventions relax the muscles and infection, expecting a short called “power steering for your arm.” The aim and physical therapy. The woman could not stand Today, more than three years provide more flexibility. All elements of treatment stay. But his heightened blood of the robotic technology also is to drive muscle with her feet flat. Dr. Dabaghian, who is Director after his 2017 brain injury, work together. pressure caused a rupture in reeducation and increase range of motion. of Physical Medicine and Rehabilitation Consult Segarra is home with his parents an arteriovenous malformation Services at Hackensack University Medical Center, “Everyday we see the value of having all the services and preparing to take some Segarra has come very far since his ruptured (AVM) — basically, a neurologic arranged for the patient to undergo surgery to in the same place and using them together in a college classes. He gets around AVM."We all feel great when we see Michael today. ticking time bomb in his brain. release the tendon on one foot, and used nerve team-based approach,” says Dr. Escaldi. JFK and is learning to drive again, We remember when he first came to us,” says He was quickly transferred to blocks and botulinum injections on the other, this time with a modified car. Jeanne O’Connor, P.A., physician assistant in brain enabling the woman to walk. Hackensack Meridian Health injury at the Extended Recovery Unit at JFK Hartwyck Jersey Shore University Medical His greatest obstacle now in Edison. “He was completely nonreactive. He “You need trust as you work with each patient to Center, where emergency is something he did not couldn’t talk to you at all. At Hartwyck, we work as a maximize function,” she said. surgery saved his life. understand before: spasticity. team. We’re family. It’s a rare place — and we try to Essential to recovery is physical and occupational tell patients and their families this is the place you Soon after, he was transferred “To me, it was a word you might therapy by therapists trained in cognitive want to be.” to the Brain Trauma Unit at use as a kid to make fun of rehabilitation. Physical therapists work to reduce Hackensack Meridian Health JFK Dr. Escaldi says Segarra’s improvement also shows muscle tone and improve range of motion and somebody. God, I hope I never Johnson Rehabilitation Institute. the value of his dedication to the program and the help patients learn to walk again. Occupational did that. I really understand Segarra could not talk, walk, eat support of his family. As a physician, Dr. Escaldi says therapists help patients with activities of daily now,” Segarra says as he or even breathe on his own. His walks across a field. His right he is inspired by patients such as Segarra. living. Some patients learn to drive again and go parents, Luis and Barbara, feared arm curls in and his right foot “When I first met Michael, the goal was simply to back to work. for their son’s future. points awkwardly. But he moves improve the flexed position of his elbow and allow Physicians work closely with specially trained Under the care of Richard J. forcefully with a brace. Since his his leg to fit comfortably in his KAFO (knee-ankle- therapists. Malone, D.O., a brain injury brain injury, Segarra has been foot-orthotic) so he could walk with assistance,” “Someone might have their hand closed and specialist, and with the help of working with Steven V. Escaldi, Dr. Escaldi says. “He and his Dad were willing to their elbow close to their body,” says Christina therapists trained in brain injury D.O., medical director of the perform any exercise or investigate any treatment Cognetti, MS OTR/L, an occupational therapist. rehabilitation, Segarra slowly JFK Johnson Rehabilitation device that could help his recovery. We really see “We work to get their limbs moving through began to move an arm, then a leg. Institute Spasticity Management that the people who work hard do well, regardless of Dr. Steven Escaldi stretching and weight bearing. Spasticity can be Soon he could eat. He took slow, Program. where they started.” JFK

8 Hackensack Meridian Health JFKJohnson.org JFKJohnson.org JFK Johnson Rehabilitation Institute 9 For MS Patient, Spasticity Treatment Is Life-Changing One of Bob Serenelli’s legs Thomas, D.O., a physical used to stiffen like a board, medicine and rehabilitation often in the middle of the specialist with subspecialty night. Think of a painful training in brain injury. She charley horse up and down works at Hackensack Meridian an entire leg. His wife, Marcia, Shore Rehabilitation Institute says her husband’s leg would in Brick, New Jersey. become as rigid as a frozen “Dr. Thomas wanted us to do slab of meat. the injections and the pump, RHAV. works with physical therapist Alison Rothman, PT, “My husband would say, ‘My and we were like, ‘They didn’t DPT; (r) RHAV. and her occupational therapist, Kim Conti leg is killing me. Please bend work.’ But she said, ‘Let’s just

my knee.’ But it was impossible see what we can do.’ She (top) Alphonsa Thomas, D.O. to bend,” Marcia recalls. looked at everything with fresh (l)Rob and Marcia Serenelli eyes,” Marcia Serenelli says. Physical Therapy Is Essential Her husband has lived with multiple sclerosis for nearly two Dr. Thomas expertly adjusted to Spasticity Treatment decades, and the physicians both treatments, creating a can get himself in and out of bed, and no who cared for him could not better outcome. “We said, longer has the painful nighttime episodes. For To RAHV., the curled fingers stretch and strengthen her control his painful spasticity. ‘You are an answer to our someone with MS for many years, each victory on her right hand often feel fingers — and also considers the Even his initial baclofen pump prayers.’ She really listens to is cherished. Serenelli, in less pain, is able to “locked in place.” At JFK patient’s entire body. and injections of Botulinum-A Bob and understands him continue his work in cybersecurity. Johnson, she works with “When an arm is tight to the failed to control reduce his pain as a whole person,” Marcia Dr. Thomas trained under Dr. Steven V. Escaldi, physical therapists who stretch chest in resting position, it can and rigidity. Serenelli says. D.O., medical director of the Hackensack Meridian and lengthen those fingers — affect a person’s gait,” Conti JFK Johnson Rehabilitation Institute Spasticity an intervention that works in During a hospitalization, he Serenelli is now able to walk says. conjunction with injections, a was referred to Alphonsa 75 feet with his walker. He Management Program. She learned, she said, brace, and serial casts. RHAV. also works with physical that a skilled practitioner must work to understand therapist Alison Rothman, PT, the patient’s day-to-day life and overall goals. “I feel so much better after the DPT. The focus is strengthening The medications, pumps, physical therapy and therapy,” RAHV. said. “It really more independent. So even as RAHV. works her affected side. All therapy injections need to be applied individually. helps.” to strengthen her affected right side, she is conducted under COVID-19 also is learning to gain better use of her left, “There is no generic amount of medication RHAV. and her occupational guidelines. non-dominant hand. that is right for everyone,” Dr. Thomas says. “I therapist, Kim Conti, OTR, “We’re working on getting typically start low and we titrate from there. It CHT, who is certified in hand She also wears a brace: “The brace keeps RAHV. to shift her weight and takes time to see how the patient responds. therapy, have worked together my foot flexed. Otherwise, I couldn’t walk.” become more active on her Is the arm too loose? Or too tight? It’s really for several years to improve the right side,” said Rothman. RHAV. lives with her father and was working patient-driven.” spasticity that lingers from the “We are focused on improving for a vending company until the pandemic. young woman’s double stroke Dr. Thomas wanted to further her training in her strength, and on tone Her physician, Steven Escaldi D.O, medical and brain bleed six years ago. brain injury medicine under Brian Greenwald, management to reduce the director of the JFK Johnson Spasticity Management Program, works closely with M.D., medical director of the JFK Johnson “I was in bed for six months,” spasticity so she can move Center for Brain Injuries, as well as Dr. Escaldi. she recalls. “I could do nothing better.” all the therapists involved in her care. for myself.” Dr. Thomas also worked with Serenelli to There is always a balance RHAV. knows she has to remain committed to her program of treatment. “Everything bring in home equipment that gives him more RHAV. endured a long road between encouraging patients independence. to regain her independence. to strengthen and use their I need is right here. The care is excellent,” Now her main obstacle is the affected side while also she says. “Everyone here is supporting me. “Bob has had some ups and downs,” Dr. spasticity that affects her right recognizing the value of “work- That makes all the difference.” JFK Thomas said. “But we have been able to arm and leg. Conti works to arounds” to enable them to be improve his quality of life.” JFK

10 Hackensack Meridian Health JFKJohnson.org JFKJohnson.org JFK Johnson Rehabilitation Institute 11 From the Frontlines of the Pandemic to Post-COVID Rehabilitaton

rehabilitation. JFK Johnson established COVID positive and COVID negative rehabilitation units with separate staff dedicated to each unit. A gym for COVID-positive patients was established. In July, JFK Johnson created the Post-COVID Rehabilitation Program, one of the region’s first, to enable patients to recover as fully as possible. “Some of our post-COVID patients are severely debilitated, with significant pulmonary and cardiac involvement,” said Talya Fleming, M.D., Medical Director of the Aftercare Program and Stroke Recovery Program at JFK Johnson.

We are joining with other rehabilitation institutes to share information so we can continue learning

In the early days of the care beds for COVID-19 the hospital to turn patients to as much as we can about this new virus and how COVID-19 pandemic, JFK patients. improve their pulmonary status. Johnson Rehabilitation Institute “We worked with home care, Dr. Cuccurullo outlined how we can help our rehabilitation patients. stood in the firing line. Just patients, and families to JFK Johnson responded to a 30-minute drive from New — Sara Cuccurullo, Vice President of JFK Johnson, and Physician-in-Chief discharge all patients who the pandemic in an essay — York City, close to a commuter of Rehabilitative Care Transformation Services at Hackensack Meridian Health. could safety return home, and titled Stories From The Field: hub — and attached to an COVID-19 and Physiatry — acute care hospital — JFK we quickly integrated virtual published by the Foundation Johnson was one of several family training sessions into for Physical Medicine and rehabilitation institutes in the our care model,” said Sara Rehabilitation. Dr. Cuccurullo shared JFK Johnson’s experiences NYU Rusk Rehabilitation Institute; Mount Sinai; New York-New Jersey region to Cuccurullo, Vice President of through Grand Rounds with other rehabilitation Montefiore; Burke Rehabilitation Institute; Kessler face the nation’s initial surge in JFK Johnson, and Physician- In the essay, she explained COVID-19 cases. in-Chief of Rehabilitative Care that JFK Johnson created a institutes, such as the rehabilitation institutes of Rehabilitation Institute, and Northwell Health. Transformation Services at COVID Committee that met Mayo Clinic and Michigan Medicine. In April and May, as COVID “The virus can also affect multiple organs and some Hackensack Meridian Health. regularly to examine procedures cases surged at JFK Medical Rehabilitation at JFK Johnson continues under patients need cardiac and respiratory therapy,” “Our complex brain and spinal and protocols. A consult Center, the hospital expanded strict new guidelines that include social distancing, Dr. Cuccurullo said. “ We are also finding that the cord injury patients, as well as team examined hospitalized ICU and critical care units to temperature checks, screening questions, masks for COVID virus can cause pathologies linked with complex cardiac/pulmonary patients to accelerate screening other floors of the hospital. all patients and appropriate PPE for all staff. increased clotting of the blood and can result in patients, stayed at our facility.” and admission to inpatient At one point, surge capacity increased risk of stroke and deep vein thrombosis.” rehabilitation, opening up JFK Johnson is now part of the NY/NJ Covid-19 in those units hit more than Rehabilitation clinical staff needed acute care beds. 200 percent. More ICU and used their skills to provide Rehabilitation Consortium, which pulls data Dr. Cuccurullo said JFK Johnson is joining other critical care capacity was still care for these seriously ill As the pandemic wore on, a together to better understand how COVID impacts rehabilitation institutes to share information so needed. So the rehabilitation patients. Meanwhile, outpatient new need emerged: seriously ill patients, and how rehabilitation can improve the rehabilitation specialists can learn as much as institute converted forty of 94 rehabilitation therapists joined COVID patients who recovered lives of these patients. The members are JFK possible about the virus and how to best help rehabilitation beds to critical “proning” teams throughout from the virus needed Johnson Rehabilitation Institute; Columbia/Cornell; patients. JFK

12 Hackensack Meridian Health JFKJohnson.org JFKJohnson.org JFK Johnson Rehabilitation Institute 13 Prestigious Research Award Goes to JFK Johnson Physician IMPROVING LIVES of PEOPLE with SPINAL Comedian Tracy Morgan Presents CORD INJURY Award to JFK Johnson Nurse A JFK Johnson Rehabilitation Institute Comedian Continues to Shine a Light physician has received a prestigious award that recognizes excellence on Specialty of Rehabilitation Nursing in spinal cord injury research by professionals dedicated to Actor and comedian Tracy Morgan improving the lives of people with has once again presented the “Tracy these life-changing injuries. Morgan Award for Excellence in Rehabilitation Nursing” to a JFK Beverly Hon, M.D., an attending Johnson nurse to show his appreciation physician at JFK Johnson, has for the care he received after his 2014 been honored with the Bors Award for Scientific JFK Johnson Residency Program “When you work accident. Development for her research into ultrasound with people with surveillance for deep vein thrombosis (DVT), or blood Receives FIVE STAR RATING Morgan presented the recurring clots, among people with spinal cord injury. brain injuries, “Tracy Morgan Award for Excellence in The JFK Johnson Rehabilitation Institute has once often they cannot Rehabilitation Nursing” to Gina Domingo, The study of 189 patients concluded that being older again received Five Stars — the highest rating — for its RN, CRRN. Domingo has worked on Tracy Morgan hugs and having more severe neurologic impairment are Physical Medicine & Rehabilitation Residency Program. communicate the Brain Trauma Unit at JFK Johnson Gina Domingo, RN, CRRN independent risk factors for DVTs. Those with certain The rating comes from Doximity’s Residency Navigator, Rehabilitation Institute since 1990. types of DVTs have a high likelihood of future blood verbally. which provides information about residency programs Domingo was among the nurses who clots and the study concluded that routine ultrasound Sometimes they Morgan presented the award after his to medical school graduates. Doximity is the leading cared for Morgan after the comedian surveillance for these patients may be warranted. performance at the Count Basie Center professional network for American physicians. can’t move. was seriously injured and in a coma “This is important research that has the potential for Performing Arts early in 2020. JFK Johnson offers a Residency Program in Physical following an accident on the New to change how patients with spinal cord injury are The work is Medicine and Rehabilitation. In addition, there are two Jersey Turnpike. Since Morgan’s After Morgan’s recovery, the comedian treated. Identifying DVTs in these patients is critical,” ACGME (Accreditation Council for Graduate Medical challenging. But inspiring recovery, he has returned to generously and publicly thanked JFK said Dr. Sara Cuccurullo, M.D., Medical Director of JFK Education) fellowships in both pain medicine and brain when you can comedy as well as to producing and Johnson nurses, physical therapists and Johnson. “We are all proud of Dr. Hon and believe her injury medicine. acting. He has generously shared his other members of his team as well as his research will improve outcomes for people with spinal contribute to their story of recovery on the national stage, physician, Brian Greenwald, M.D., who cord injuries.” The JFK Johnson Physical Medicine and Rehabilitation recovery, it’s just highlighting the work of professionals is medical director of the JFK Johnson Residency Program is a joint program with JFK Johnson For 25 years, the Journal of Spinal Cord Medicine dedicated to patients with brain injuries. Center for Brain Injuries. and Rutgers Robert Wood Johnson Medical School so rewarding.” (JSCM) has honored the legacy of Ernest Bors, M.D., and Hackensack Meridian School of Medicine. More “I’m honored to receive this award,” “Tracy’s amazing recovery continues to with an annual publishing award—The Ernest Bors, — Gina Domingo, than 200 residents have completed the program since it Domingo said. “When you work provide hope to my other patients,” Dr. M.D., Award for Scientific Development. Dr. Bors RN, CRRN began more than 30 years ago. with people with brain injuries, often Greenwald said. “And to see him clearly (1900–1990) was a pioneer in the care of veterans they cannot communicate verbally. in command of his talent is just great.” disabled by spinal cord injury. The residency and fellowship program has vibrant Sometimes they can’t move. The and engaged alumni, including many who now work Morgan starred for seven seasons on Dr. Hon’s research is “Duplex ultrasound surveillance work is challenging. But when you can as medical directors, chairs, and residency directors NBC’s Emmy and Golden Globe Award- for deep vein thrombosis after acute traumatic spinal contribute to their recovery, it’s just so in hospitals and rehabilitation institutes across the winning “30 Rock.” He also was a cast cord injury at rehabilitation admission,” and was rewarding.” nation. The residency and fellowship program is fully member for seven seasons on Saturday published online on April 2, 2019. accredited by ACGME. Night Live. Dr. Hon is board certified in Physical Medicine and The Physical Medicine and Rehabilitation Board Review “We are thankful to Tracy Morgan for the Rehabilitation (PM&R) and Spinal Cord Injury Medicine. Textbook (Demos Publishing), widely used by doctors light he continues to shine on the skill, At JFK Johnson, Dr. Hon works with an interdisciplinary taking their boards in the specialty, was created at JFK compassion, and specialized training team highly skilled in treating all aspects of spinal cord Johnson Rehabilitation Institute, and Sara Cuccurullo, of rehabilitation nurses,” said Sara injury and enabling patients to maximize their recovery MD, Medical Director of JFK Johnson, is editor-in-chief, Cuccurullo, M.D., medical director of the JFK Johnson Rehabilitation Institute. and meet their individual goals. JFK and many of the faculty at JFK Johnson are authors. JFK JFK

14 Hackensack Meridian Health JFKJohnson.org JFKJohnson.org JFK Johnson Rehabilitation Institute 15 stroke heart trials

“For patients, the experience is very positive. We really help people change their lives.” — Tayla Fleming, MD, Director of the Aftercare and Stroke Recovery Program

Dr. Cuccurullo, left, and Dr. Fleming

complete the program. Medicare currently pays cardiac patients receive. They for comprehensive cardiac also believe better coverage Data also found that patients rehabilitation for people with for stroke survivors also has the in the program improved their cardiac events, such as heart potential to save Medicare funds cardiac capacity by 103 percent attack, but does not routinely in the long run by reducing re- and also significantly improved pay for those same services if the hospitalizations and long-term their function in measures of patients suffered a stroke. care placements. New Data from Stroke-HEART Trials daily activities, such as their mobility, cognition and speech. “Patients with cardiac events More than 300 patients have so far Show Reduced Hospital Dr. Cuccurullo said patients who are guaranteed 36 sessions entered the Stroke-HEARTTM Trials. function at a higher level are of a comprehensive cardio The trial is ongoing. potentially more likely to return rehabilitation program. But Re-Admissions for Stroke Survivors In the JFK Johnson Stroke home instead of to long-term care. stroke survivors are not — even Rehabilitation Program, patients though it’s the same vascular the JFK Johnson Stroke rehabilitation program are truly Patients in the Stroke Recovery are trained like athletes to get system whether the attack strikes Rehabilitation Program — wide-ranging and measurable,” Program receive 36 sessions of stronger and healthier. Fleming the brain or the heart,” Dr. a comprehensive cardiac said Sara J. Cuccurullo, MD, medically monitored interval said stroke survivors often have Cuccurullo said. rehabilitation program modified Chairman and Medical Director cardiovascular training, as well high blood pressure, diabetes, for stroke patients — were of JFK Johnson and a Co as follow-up visits with a Physical Dr. Cuccurullo and Talya high cholesterol, a history of significantly less likely to Principal Investigator of the Medicine and Rehabilitation Fleming, MD, Director of the smoking and/or an irregular die than those who did not study. physician. Also part of the Aftercare and Stroke Recovery heartbeat. She said many who New data from the on-going complete the program. program is psychological, Program and Co- Principal complete the program want to The Trials continue to progress Investigator of the study, met Stroke-HEARTTM Trials at JFK nutritional, educational support continue exercising even after Now the latest data show that and enroll people who have last year with officials from Johnson Rehabilitation Institute and risk factor management — their time in the study ends. the program also meaningfully experienced stroke. Earlier the Center for Medicare and continue to show far-reaching as well as traditional physical, reduces hospital readmissions. data from the Trials, previously Medicaid Innovation to outline “The Stroke Recovery Program occupational and speech therapy. benefits for stroke survivors published in the American provides the structure to help The re-hospitalization data of the benefits of providing who complete a cardiac Journal of Physical Medicine our stroke patients adopt Stroke-HEARTTM Trials has been Patients who do not participate in a comprehensive cardiac rehabilitation program similar to and Rehabilitation, found that behavioral and lifestyle changes submitted for publication. the program receive the traditional rehabilitation program for stroke the one offered to people who patients in the control group standard of care, which includes patients. The JFK Johnson to lead healthier lives,” Dr. have suffered heart attacks. “As we move forward with the who did not complete the physical, occupational, and speech researchers said their aim is Fleming said. “For patients, the The Stroke-HEARTTM Trials study and continue to enroll JFK Johnson Stroke Recovery therapy, and follow up with their to encourage Medicare to experience is very positive. We previously found that stroke more patients, we are finding Program were nine times more community physician. provide rehabilitation coverage really help people change their survivors who completed the benefits of our stroke likely to die than those who did to stroke survivors that is what lives.”JFK

16 Hackensack Meridian Health JFKJohnson.org JFKJohnson.org JFK Johnson Rehabilitation Institute 17 Association of Academic Physiatrist, (AAP)/ 15. Abissi, Gabrielle, MD, Taborda, Roy, MD, Lin, Lei, 10. Cuccurullo, Sara, MD, AAP/ISPRM, Board HIGHLIGHTS OF OUR SCHOLARLY ACTIVITIES International Society of Physical Medicine and MD, Greiss, Christine, DO, Moore, Matthew, DO, of Trustees Meeting, PM&R Graduate Medical Rehabilitation Medicine World Congress (ISPRM), “The Nursing Communication in an Inpatient Acute Education, Now and in the Future, National 2. , Editor-in Chief, (2010) k, Kean J, Kraus MF, Richardson RN, Pavawalla S, A. CURRENT RESEARCH IN PROGRESS Cuccurullo, Sara, MD March 2020 Rehabilitation Hospital” Steering Committee – Update Report, Orlando, Physical Medicine and Rehabilitation Board Rosenbaum A, Stuss DT and Yabion, SA., “The 1. Florida, March 2020 JFK Johnson Rehabilitation Institute Review, First Edition , Textbook 938 pages, Post-Traumatic Confusional State: A Case Definition 2. Patel, Shrut, MD, Markos, Steven, MD, Thakral, 16. Taborda, Roy, MD, Abissi, Gabrielle, MD, Hon,

Awarded Traumatic Brain Injury Model System Demos Publishing, N.Y., N.Y. and Diagnostic Criteria” {published online ahead Aakash, MD, Cuccurullo, Sara, MD, Fleming, Talya, Beverly, MD, “Feeling Weak in the Knees: The 11. Cuccurullo, Sara, MD, Mayo Clinic Power Point TBIMS Program sponsored by the (TBIMS) of print, 2020 July 29}, Archives of Physical Medicine MD, Greiss, Christine, MD, “Cardiovascular Interval Search for an Elusive Diagnosis” Presentation, “COVID-19 Pandemic, Experiences National Institute on Disability, Independent 1. 3. , Editor-in Chief, (2014) Cuccurullo, Sara, MD and Rehabilitation, 2020; S0003-9993(20)30448-2. Training Significantly Improves MET-minutes in Lessons Learned in the NY and NJ Area-“Building 1. JFK Johnson Rehabilitation Institute Awarded Physical Medicine and Rehabilitation Board 17. Shenouda, Mina, MD, Trusha Desai, B.S., Mina doi:10.1016/j.apmr.2020.06.021 Stroke Survivors” The Plane As We Are Flying It”, Grand Rounds Traumatic Brain Injury Model System (TBIMS) Review, First Edition , Textbook 953 pages, Gayed, DO, Steven Escaldi, DO, Sagar Parikh, MD, Zoom Presentation, May 4, 2020 Sponsored by NIDLRR , US Department of Demos Publishing, N.Y., N.Y. 8. Thakkar P, Greenwald, Brian, MD, Patel, P. 3. Gayed, Mina, DO, Hon, Beverly, MD, Cuccurullo, Sara Cuccurullo, MD, “Multidisciplinary, Physiatric Health and Human Services, research to meet “Rehabilitation of Adult Patients with Primary Sara, MD, “Unusual Presentation of Spinal Cord Management of Refractory Equinovarus Dystonia 12. Rossi, Roger, DO,”COVID-19, SARS-CoV-2 and 3. , Editor-in Chief, (2019) the needs of individuals with traumatic brain Cuccurullo, Sara, MD Brain Tumors: A Narrative Review”. Brain Sci. Compression and the Importance of Decisive Associated Complex Regional Pain Syndrome Parkinson’s Disease: What We Know So Far”, JFK PM&R Board Review, Fourth Edition , 1001 injury. September 2017-2022 (5 year grant). 2020;10(8):E492. Published 2020 July 29 Action” and “Marantic Endocarditis a Rare Insidious Following Knee Surgery: A Case Report” Johnson Medical Center, May 2020 pages, Demos Publishing, N.Y., N.Y. Disease Which Can Lead to Stroke” 2. Greiss, Christine, DO, Cuccurullo, Sara, MD, 9. Hammond FM, Perkins SM, Corrigan J, Nakase- 18. Liu, Eric, DO, Chan, Stephanie, MD, Salazar, 13. Cuccurullo, Sara, MD, University of Michigan, Fleming, Talya, MD, JFK Medical Center IRB Richardson R, Brown, A, O’Neill-Pirozzi TM, Zasler 4. Gayed, Mina, DO, Greenwald, Brian, MD, Tomas, MD, Brown, David, DO “Iliopsoas Tendonitis Michigan Medicine, “COVID-19 Pandemic, C. PEER REVIEWED PUBLICATIONS ,Stroke Recovery Program – Changes in AMPAC N, Greenwald, Brian, MD, “Functional Change Cuccurullo, Sara, MD, “Modafinil Induced Following Total Hip Arthroplasty: A Case Report” Experiences Lessons Learned in the NY and NJ Tachycardia, an Uncommon Side Effect” Area-“Building The Plane As We Are Flying It”, Following SSRI Administration, 2018 - Present 1. Kohar, A., Tran, D., Perret, D., Chi, B., Kim, M., from 5 to 15 Years Following Traumatic Brain Injury 19. Liu, Eric, DO, Chiu, Elissa, DO, Urs, Krishna, MD, Bagay, Leslie, MD, Hata, J., , {published online ahead of print, 2020 September Grand Rounds Zoom Presentation, July 23, 2020 3. Cuccurullo, Sara, MD 5. Salazar, Tomas, MD, Cuccurullo, Sara, MD, “Suprasellar Meningioma Masquerading as Giant Joki, Jaclyn, MD, Cuccurullo, Sara, MD, “Physical Medicine and Rehabilitation Milestone 10}. J Neurotrauma. 2020;10.1089/neu.2020.7287. Rutgers IRB, Transcatheter “Levetiracetam Induced Rhabdomyolysis in an Cell Arteritis: A Case Report” 14. Greenwald, Brian, MD, “Updates in the Fleming, Talya, MD, Evaluation Project: Development of Standardized doi.10.1089/neu.2020.7287 Aortic Valve Replacement (TAVR) versus Acute Rehabilitation Patient: A Rare Case Report” Evaluation and Care if Patients with a Disorder of Rotation-Specific Milestone-Incorporated Faculty- 20. Gayed, Mina, DO, Abissi, Gabrielle, MD, Minimally Invasive Aortic Valve Replacement 10. Lee, Se Won, Le, Phuong U, Consciousness”, Northwell Health, Department of of-Resident Evaluation Tools” American Journal of Van Dien, Craig, 6. Liu, Eric, DO, Salazar, Tomas, MD, Cuccurullo, Shenouda, Mina, MD, Lin, Lei, MD,”A Customized (miniAVR) and their effects on cognition and , Hansen, Mike, Tiu Timothy, “Evaluation Physical Medicine and Rehabilitation, September Physical Medicine and Rehabilitation, December 3, MD Sara, MD, “Delayed Neurological Deficits Following Stroke Rehab Program for an Individual with Both function, 2018 - Present of Resident Palpation Skills in Foot and Ankle 10, 2020 and Jaw Pain”, Atlanta, GA, February 2018 2020, Doi.1097/PHM.0000000000001661 Spinal Cord Stimulation and the Importance of Auditory and Visual Deficits: A Case Report" Anatomic Structures Using Bedside Ultrasound, 4. Patient Education: A Case Report” Joki, Jaclyn, MD, Cuccurullo, Sara, MD, 2. Silver Julie, K., , Ambrose, HCA Healthcare Journal of Medicine: Vol. 1: Iss 3, , Rutgers IRB , Transitions of Cuccurullo, Sara, MD G. INTERNATIONAL Fleming, Talya, MD Anne Felician, Bhatnagar Saurabha, Bosques, Article 9. (2020) And “Intradural Extramedullary Myxopapillary E. BOOK CHAPTERS Care for Stroke Patients, 2018 - Present Presenting as Recurrent Low Back Pain: A Case 1. Jafri, Iqbal, MD, Medics International Glendaliz, Fleming, Talya, MD, Frontera, Water, 1. , “Post Traumatic 11. Se Won Lee, MD ,Craig Van Dien, MD, Dabaghian, Laurie, MD Conference, Co-Chairman and Speaker: Pain/ 5. Cuccurullo, Sara, MD, Fleming, Talya, Karimi, Danielle Perret, Oh-Park, Mooyeon, Sowa, Report” and “Seasonal Variation in Resident Sun Jae Won, MD, PhD. Clinical Review Adipose Hydracephalus”, Chapter Author- Brain Injury Anesthesia Session, Pakistan, Gwendolyn, Visco, Weiss, Lyn, Knowton, Tiffany, Workplace Happiness: A Prospective Cohort MD, Greiss, Christine, DO, Eckert Anne, Tissue as Pain Generator in the Lower Back and Medicine Review Book, Cifu, David, MD and “Association of Academci Physiatrists Women’s Study” 2. , Fleming, Talya, MD AuD.,MBA, Scarpati, Rosann, RN, Ray, Arlen, Lower Extremity: Application in Musculoskeletal Blessen Eapen, MD, September 2020 Cuccurullo, Sara, MD PT, JFK IRB, Stroke Recovery Program Clinical Task Force Follow Up Report, American Journal of And “The Positive Effects of a Physical Medicine presented at the International Society of PM&R Medicine,HCA Healthcare Journal of Medicine (2020) 2. Van, Dien, Craig, MD, Parikh, Sagar, MD, Outcomes Trial, Mortality, Incidence of New Physical Medicine and Rehabilitation, Accepted for and Rehabilitation Department’s Funding of Medicine (ISPRM) 2019 World Congress, in Kobe, 1:5 https://doi.org/10.36518/2689-0216.1102 257 Musculoskeletal Ultrasound, PM&R Board Review, Strokes and Readmissions and Functional Publication Residency Social Events on Overall Resident Japan Innovations of Care in Rehabilitation of Outcomes trial. Multi-Center Collaborative 12. Lee SW, Patel J, , et Fourth Edition, Demos Medical Publishing, NY, NY, Medically Complex Patients –Impact of a Stroke 3. Pisano, T., Joki, Jaclyn, MD, Hon, Beverly, MD, Van Dien, Craig, MD Happiness” Initiative, JFK Johnson Rehabilitation Institute, al. “The Transverse Infrapatellar View: A New 2019 pp. 938 - 948 Recovery Program , “Pulmonary Embolism After Rutgers, Robert Wood Johnson Medical Cuccurullo, Sara, MD Ultrasound Technique to Measure Distal Femoral 7. Chan, Stephanie, MD, Patel, Shrut, MD, Liu, Acute Spinal Cord Injury and COVID-19; A Case Eric, DO, Salazar, Tomas, MD, Lin, Lei, MD, School, 2015 - Present Cartilage Thickness”, J. Ultrasound Medicine, 2019 F. NATIONAL PRESENTATIONS Report”, American Journal of Physical Medicine and Ph.D., Cuccurullo, Sara, MD, “Evaluating the H. AWARDS 6. Pediatric Guillain Barre Rehabilitation, 2020; 99(11);982-985 (PMID: 32858533) 13. Brown, David, DO, Thomas, Alphonsa, MD, Greenwald, Brian, Impact of Education on Opioid Medication Pain 1. Cuccurullo, Sara, MD, American Academy of 1. Cuccurullo, Sara, MD, Fleming, Talya, MD, EMG Series Study and Phrenic Nerve EMG , “Paroxysmal Sympathetic Hyperactivity and 4. Francisco GE, Balbert A, Bavikatte G, Bensmail MD Management: A quality Improvement Project Physical Medicine and Rehabilitation (AAPM&R) Greiss, Christine, MD, DO, Eckert, Anne, AudD, Study Pre and Post EMG findings after Pacer Clinical Considerations for Patients with Acquired D, Deltombe T, Draulans, N, , Implemented in Acute Inpatient Rehabilitation” Women Physiatrists- Diamonds in the making; Scarpati, Rosann, RN, Ray, Arlen, PT AAP Implant, 2015 - Present Escaldi, Steven, DO Brain Injuries: A Narrative Review, American Journal Gross R, Jacinto J, Ketchum N, Molteni F, Moraleda Pressures, Challenges and Experiences Among Excellence in Research Writing Award March 2020 of PM&R, 98(1):65-72, January 2019 8. Shenouda, Mina, MD, Greenwald, Brian, MD, 7. S, O’Dell MW, Reebye R, Satero P, Verduzco- Women Physiatrists (November 2020) Bagay, Leslie, MD, Luke, Ofure, MD, Cuccurullo, Sara, MD, “A Unique Presentation of 2. Hon, Beverly, MD, Bors Award for Scientific Landolfi, Joseph, DO, Cuccurullo, Sara, MD, Gutierez, MM, Walker H, Wissel, J, “A Practical 14. Cicerone, KD. Goldin Y., Ganci K, Spastic Paraplegia following Non-Paraneoplastic 2. SuAnn Chen MD; AAPM&R Inpatient Development, June 2020 Fleming, Talya, MD, Porbeni, Charles, MD, Guide to Optimising the Benefits of Post-Stroke Rosenbaum, A, Wethe J, Langenbahn, D, Malec Anti-N-Methyl-D-Aspartate Receptor Encephalitis: Rehabilitation-Should They Come, Should they 3. JFK IRB– Brain Tumor Rehabilitation Program Spasticity Interventions with Botulinum Toxin-A: JF, Bergquist TF, Kingsley, K, Nagele, D, Trexler,L, A Case Report” Stay or Should they Go? (November 2020) Brown, David, DO, Escaldi, Steven, DO, utilizing Cardiovascular training, Malignant An International Group Consensus”, Journal of Fraas, M, Bogdanova, Y, Harley JP, “Evidence-Based Malone, Richard, DO, Rutgers-Robert Wood 3. Glioma Outcomes Trial 2019 Rehabilitation Medicine, DOI: 10.2320/1650977- Cognitive Rehabilitation: Systematic Review of the 9. Shenouda, Mina, MD, Markos, Steven, MD, Jafri, Greenwald, Brian, MD, AAPM&R- Point – Johnson Volunteer Faculty Award, New Brunswick, 2753, (PMID 33057730) Literature From 2009 Through 2014; Archives of Iqbal, MD, Doss, Anthony, MD, Brown, David, DO, Counterpoint: Debating Controversial Topics NJ, June, 2020 8. Cuccurullo, Sara, MD, Bagay, Leslie, MD; Cuccurullo, Sara, MD, “Man-in-the Barrel Syndrome Related to Brain Injury , November 2020 PM&R in press 2019 4. “Teacher of the Year Award”, IRB-NY/NJ Covid-19 Rehabilitation Consortium- 5. Silver, Julie, MD, Cuccurullo, Sara, MD, Following Elective Aortic Valve Replacement and Brown, David, DO, 4. Heikki Uustal, MD ; AAPM&R Elevating June 5, 2019, 2020 Across the Continuum of Care: Physical Weiss, Lyn, MD, Visco Christopher, MD, Oh-Park, 15. Cuccurullo, Sara, MD, Fleming, Talya, Aortic Aneurysm Repair; A Case Report” Standards of Care for Patients with Amputations Medicine and Rehabilitation Characteristics, Mooyeon, MD, Karimi, Danielle, MD, Frontera, MD, Kostis, William, MD, Greiss, Christine, DO, 5. Greiss, Christine, DO, “Kathy Wong Award”, 10. Shenouda, Mina, MD, Greenwald, Brian, MD, (November 2020) Symptoms and Clinical Needs of COVID-19 Walter, MD, Ph.D., Fleming, Talya, MD, Bosques, Gizzi Martin, MD, Ph.D., Eckert, Anne, AuD, MBA, 2019, 2020 , “Persistent Ataxia and Apraxia Patients (2020). Glendaliz, MD, Bhatnagar, Saurabha, MD, Ambrose, CCC/A, Ray, Arlen, PT, Scarpati, Rosann, RN, Cuccurullo, Sara, MD 5. Uustal, Heikki, MD, Orthopedic Grand Anne Felicia, MD, Nguyen, Vu, MD, “The Vital Cosgrove, Nora, RN, CCRC, Beavers, Traymon, in a Patient with Legionella Encephalitis Following 6. Greenwald, Brian, MD, Medical Honoree Award 9. , Continues Ongoing Rounds, “Update on Lower Limb Prosthetics”, Brown, David, DO Role of Professionalism in Physical Medicine and BS, Cabrera, Javier, Ph.D., Sargsyan, Davit, MD, Legionnaires Disease: A Case Report” for 2020 from the Brain Injury Alliance of New York Phrenic Nerve EMG Study Pre and Post EMG Rutgers-Robert Wood Johnson Medical School, Rehabilitation”, American Journal of Physical Kostis, John B., MD, D.Phil, “Impact of a Stroke State, September 12, 2020 findings after Pacer Implant, December 2019 11. Shenouda, Mina, MD, Patel, Shrut, MD, Girgis, November 2020 Medicine and Rehabilitation April 2020, Volume 99, Recovery Program Integrating Modified Cardiac 7. , the AAP, Outstanding Peter, MD, Jafri, Iqbal, MD, Urs, Krishna, MD, 6. Cuccurullo, Sara, MD, Association of Academic Cuccurullo, Sara, MD 10. Rossi, Roger, DO, Safety Monitor, MOH- Issue 4, PMID 31609732 Rehabilitation on All-Cause Mortality, Cardiovascular Cuccurullo, Sara, MD, “Haemophilus Influenza Physiatrists (AAP)/International Society of Physical Service Award, San Juan, Puerto Rico, February NINDS-R15, Utilizing Gaming Mechanics Performance and Functional Performance, 6. Giacino, JT, Whyte, J., Nakase-Richardson R, (Type f) Aortis Masquerading as Intractable Back Medicine and Rehabilitation Medicine World 2019; Association of Physicians of Pakistani to Optimize Tele Rehabilitation Adherence American Journal of PM&R, November 2019, Pain: A Case Report” Katz, DI, Arciniegas, DB, Blum, S, Greenwald, Congress (ISPRM), Residency and Fellowship Descent of North America (APPNA), Leader in in Persons with Stroke, Ongoing- January/ Volume 98, Issue 11 Healthcare Award, April 2019; ROI – NJ Influencers Brian, MD, Hammond, FM, Pape, TB, 12. Markos, Steven, MD, Aakash Thakral, MD, Lin, Directors Council Meeting, Moderator for Implicit February 2020 in Healthcare-Leading a State of the Art Program Rosenbaum, A, Seel, RT, Weintraub, A, Yablon, S, 16. Se Won Lee, MD ,Craig Van Dien, MD, Lei, MD, Ph.D., Cuccurullo, Sara, MD, “Reducing Bias Training, Orlando, Florida, March 2020 11. Rossi, Roger, DO, NIH Proposal: Zafonte, RD, Zasler, N, “Minimum Competency Sun Jae Won, MD, PhD. Clinical Review Adipose in Stroke Rehabilitation at Johnson Rehabilitation Post-Operative Pain and Opioid Consumption 7. , AAP/ISPRM, Chair Implementing Evidence Based Non Recommendations for Programs that Provide Tissue as Pain Generator in the Lower Back and Cuccurullo, Sara, MD Institute 2019 Through Evidence-Based Medicine: An Educational Council Workshop, Moderator for Financial Pharmacological Treatments for Low back Pain Rehabilitation Services for Persons with Disorders Lower Extremity: Application in Musculoskeletal Quality Improvement Project” Modeling of Physician Compensation Programs, 8. Cuccurullo, Sara, MD, Elected Key Note Speaker in Emergency Departments, Ongoing , January/ of Consciousness: A Position Statement of the Medicine,HCA Healthcare Journal of Medicine (2020) Orlando, Florida, March 2020 Award, Medical College of Wisconsin, May 2019 February 2020 American Congress of Rehabilitation Medicine 1:5 https://doi.org/10.36518/2689-0216.1102 257 13. Patel, S., Van Dien Craig, MD, “An Unexpected Finding; Prarasymphyseal Subchondral Geodes 9. , AAPM&R Distinguished and the National on Disability, Independent Living 8. Cuccurullo, Sara, MD, Fleming, Talya Fleming, Cuccurullo, Sara, MD Masquerading as Recurrent Left-Sided Hip Member Award, November 2019 and Rehabilitation Research Traumatic Brain Injury MD, AAP/ISPRM, “Rehabilitation Care of D. ABSTRACTS Abductor Muscle Strain” B. TEXTBOOKS Model Systems”, Archives of Physical Medicine and Medically Complex Patients”, CVA Impact of Stroke 10. Uustal, Heikki, MD, Rossi, Roger, DO, Jafri, Rehabilitation, June 2020, 101 (6): 1072 – 1089 Recovery Program, Orlando, Florida, March 2020 1. Cuccurullo, Sara, MD, Editor-in Chief, (2004) American Academy of Pain Medicine, National American Academy of Physical Medicine and Iqbal, MD Rutgers-Robert Wood Johnson Harbor, MD, February 2020 Volunteer Faculty Award, New Brunswick, NJ, Physical Medicine and Rehabilitation Board 7. Sherer M, Katz DI, Bodien YG, Arciniegas DB, Rehabilitation, November 2020 9. Cuccurullo, Sara, MD, AAP/ISPRM, Board June, 2019 Review, First Edition , Textbook 848 pages, Block C, Blum S, Doiron M, Frey, K, Giacino JT, Graf 1. Thakral, Aakash, MD, Van Dien Craig, MD, 14. Chiu, Elisa, DO, Thakral, Aaskash, MD, Lin, Lei, of Trustees Meeting, Parts 1 and II, Women in Demos Publishing, N.Y., N.Y. M, Greenwald, Brian, MD, Hammond FM, Kalmar “Superior Chuneal Nerve Block for Refractory low MD, “Complex Diagnosis of Neuromyelitis Optica Academic Physiatry Task Force Follow-up Report, Back and Buttock Pain with No Optic Findings: A Case Report” Orlando, Florida, March 2020 18 Hackensack Meridian Health JFKJohnson.org JFKJohnson.org JFK Johnson Rehabilitation Institute 19 65 James Street Edison, New Jersey 08818

www.JFKJohnson.org

JFK Johnson Rehabilitation Institute The Leader in Providing Quality Rehabilitation Care

Offering New Jersey’s most comprehensive rehabilitation services, the JFK Johnson Rehabilitation Institute is a 94-bed facility located in Edison, N.J., serving residents of the tristate area for nearly 50 years. Its mission is simple: provide quality rehabilitation for adults and children living with disabilities to obtain optimal function and independence within an accepting community. JFK Johnson Rehabilitation has developed programs in specialties that include brain injury, stroke rehabilitation, orthopedics/musculoskeletal and sports injuries, fitness, cardiac rehabilitation, women’s health, pediatrics and a prosthetics and orthotics lab. It is the Physical Medicine and Rehabilitation Department of the Hackensack Meridian Medical School and Rutgers Robert Wood Johnson Medical School. To learn more, visit JFKJohnson.org

20 Hackensack Meridian Health JFKJohnson.org